Providers

Texas Medicaid

Quick Launch

Potentially Preventable Events (PPE)

H.B. 1218, 81st Legislature, Regular Session 2009, requires that HHSC
identify potentially preventable readmissions (PPRs) in the Medicaid population
and report results confidentially to each hospital. The law also requires each
hospital to distribute the information to its care providers. This web page will
be updated annually to include the new state fiscal year
confidential Hospital Specific PPR Report which will include frequently asked
questions (FAQs) that will assist providers in interpreting their confidential
reports.

S. B. 7, for the 82nd 1st Special Session of the Texas Legislature, required
HHSC to provide confidential information to each hospital on its performance
with regard to Potentially Preventable Complications (PPC). PPC reports will be
used to show a hospital’s performance level with regard to potentially
preventable, in-hospital complications based on criteria such as patient
characteristics, reasons for admission, procedures, and the interrelationships
between underlying medical conditions. PPC reporting uses the
present-on-admission (POA) information submitted on inpatient claims.

The following resources provide an overview of PPR and PPC methodology: